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Greenwald MA, Edwards N, Eastlund DT, Gurevich I, Ho APZ, Khalife G, Lin-Torre J, Thompson HW, Wilkins RM, Alrabaa SF. The American Association of Tissue Banks tissue donor screening for Mycobacterium tuberculosis-Recommended criteria and literature review. Transpl Infect Dis 2024; 26 Suppl 1:e14294. [PMID: 38852068 DOI: 10.1111/tid.14294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 04/12/2024] [Accepted: 04/25/2024] [Indexed: 06/10/2024]
Abstract
After two multistate outbreaks of allograft tissue-transmitted tuberculosis (TB) due to viable bone, evidence-based donor screening criteria were developed to decrease the risk of transmission to recipients. Exclusionary criteria, commentary, and references supporting the criteria are provided, based on literature search and expert opinion. Both exposure and reactivation risk factors were considered, either for absolute exclusion or for exclusion in combination with multiple risk factors. A criteria subset was devised for tissues containing viable cells. Risk factors for consideration included exposure (e.g., geographic birth and residence, travel, homelessness, incarceration, healthcare, and workplace) and reactivation (e.g., kidney disease, liver disease, history of transplantation, immunosuppressive medications, and age). Additional donor considerations include the possibility of sepsis and chronic illness. Donor screening criteria represent minimal criteria for exclusion and do not completely exclude all possible donor TB risks. Additional measures to reduce transmission risk, such as donor and product testing, are discussed but not included in the recommendations. Careful donor evaluation is critical to tissue safety.
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Affiliation(s)
- Melissa A Greenwald
- American Association of Tissue Banks, McLean, Virginia, USA
- Uniformed Services University, Bethesda, Maryland, USA
- Donor Alliance, Denver, Colorado, USA
| | | | | | | | | | - Ghada Khalife
- Solvita, Dayton, Ohio, USA
- Wright State University, Dayton, Ohio, USA
| | - Janet Lin-Torre
- MTF Biologics, Edison, New Jersey, USA
- Department of Medicine, Cooperman Barnabas Medical Center, Livingston, New Jersey, USA
| | | | | | - Sally F Alrabaa
- University of South Florida, Morsani College of Medicine, Tampa, Florida, USA
- LifeLink Tissue Bank, Tampa, Florida, USA
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Roberts MB, Lee J, Murphy MC, Kim AY, Coglianese EE, Hilburn C. Case 37-2022: A 55-Year-Old Man with Fatigue, Weight Loss, and Pulmonary Nodules. N Engl J Med 2022; 387:2172-2183. [PMID: 36477035 DOI: 10.1056/nejmcpc2211357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Matthew B Roberts
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
| | - Jarone Lee
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
| | - Mark C Murphy
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
| | - Arthur Y Kim
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
| | - Erin E Coglianese
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
| | - Caroline Hilburn
- From the Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (M.B.R.); and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Massachusetts General Hospital, and the Departments of Emergency Medicine and Surgery (J.L.), Radiology (M.C.M.), Medicine (A.Y.K., E.E.C.), and Pathology (C.H.), Harvard Medical School - both in Boston
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